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1114460995
LAURA L BRANDENBURG
ALTON, IL
NPI
1114460995
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Former Name
LAURA L HUDDLESTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209003963)
Enumeration Date
2016-11-28
Last Update Date
2016-11-28
Business Address
-- LAURA L BRANDENBURG FNP
4 MEMORIAL DR STE 230B
ALTON, IL 62002-6751
Phone number: 618-463-7777
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Mailing Address
-- LAURA L BRANDENBURG FNP
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141-8573
Phone number: 618-463-7777
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